Medical Assistance Program

Geographic Scope: Santa Barbara County, CA

The Vikings of Solvang assist people in paying for medical needs if they cannot afford to pay the expenses themselves. Requests are processed on a monthly basis.

Mission

Local charity largely funded by members' donations with a mission to help people in Santa Barbara County with medical costs that they cannot afford to pay.

Eligible Expenses

• Hospital or doctor bills
• Medical equipment or devices not paid for by insurance
• Traditional medical care approved by medical professional organizations and insurance companies

What They Don't Fund

• Transportation or lodging
• Services not approved by medical professional organizations and insurance companies

Important Policies

• Payment Method: Pays medical providers directly; does not reimburse patients for amounts already paid by patient, family, or friends
• Financial Documentation Required: Applicants must establish financial need and provide financial documents
• Insurance & Provider Assistance Requirement: Applicants must have sought insurance payments and financial assistance available from their providers before applying (e.g., Cottage Hospital has generous financial assistance programs)
• Processing: Monthly basis with possible requests for additional information

Contact Information

• Email: charity@vikingsofsolvang.org
• Mailing Address: P.O. Box 293, Solvang, CA 93464

Application Process

1. Download Required Forms: Select and complete the appropriate assistance form:
   • Medical Assistance Form
   • Dental Assistance Form
   • Other Assistance Form
2. Complete HIPAA Form: Download, fill out, and include HIPAA Form with submission
3. Gather Supporting Documentation:
   • Financial documents establishing financial need
   • Dental plan (if applicable)
   • Medical provider statements or bills
   • Proof of insurance coverage/denials
   • Evidence of attempts to seek financial assistance from providers
4. Submit Application:
   • Email completed application and all supporting documentation to: charity@vikingsofsolvang.org
5. Follow-up: Organization may contact applicant to request additional information

Required Information

• First Name, Last Name
• Email, Phone
• Full Address (Address Line 1, Address Line 2, City, State, Zip Code, Country)
• Years at current address
• Date of Birth
• Name of Parent/Guardian (if applicable)
• Description of medical condition/diagnosis and how organization can best serve
• Employer and Insurance information
• Doctor information
• Date of Last Visit
• How you heard about the program

Questions to Address

• Tell us about your medical condition and/or diagnosis and how we can best serve you.